| NPI | 1417588120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN191898) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GA191898) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2025-03-23 |