| NPI | 1497102073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN172068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN172068) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2025-01-08 |