| NPI | 1487046983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN119355) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA RN119355) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5008399) | |
| Enumeration Date | 2015-02-21 |
| Last Update Date | 2025-07-24 |