| NPI | 1598215899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN285818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010531) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2021-05-21 |