| NPI | 1467153122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN242469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 242469) |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-10-04 |