| NPI | 1619529344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN296275) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F344668-01) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-11-28 |