| NPI | 1659043305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017222) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN28987) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2023-03-27 |