| NPI | 1629438007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN206794) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 71639) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2023-02-09 |