| NPI | 1578160560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN194221) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F07191756) |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2020-12-08 |