| NPI | 1629576301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9329075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN308245) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2024-09-05 |