| NPI | 1538651278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN290786) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL NP9334238) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2021-01-14 |