| NPI | 1578152898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN233409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F11200664) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-02-16 |