| NPI | 1578922944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 348362) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN168451) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2021-09-08 |