| NPI | 1619436318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014420) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN220304) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2021-11-16 |