| NPI | 1528408051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN186491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18337) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2024-09-11 |