| NPI | 1659808335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN311185) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F344262) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2023-02-02 |