| NPI | 1508268590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN30684) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R202750) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2023-08-17 |