| NPI | 1548741614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN271505) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 271505) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 271505) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2024-01-25 |