| NPI | 1619529393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: GA RN191127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN191127) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-04-13 |