| NPI | 1538832803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26522) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN171910) |
| Enumeration Date | 2021-07-31 |
| Last Update Date | 2024-08-07 |