| NPI | 1639699531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN181539) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20587) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2021-07-22 |