| NPI | 1518444256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN135625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-085038) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2024-10-31 |