| NPI | 1528752318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN236439) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN236439) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-10-12 |