| NPI | 1497256747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN214390) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 214390) |
| 363L00000X Nurse Practitioner (Licence: GA RN214390) | |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2024-05-17 |