| NPI | 1437664497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN212246) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN212246) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2024-09-03 |