| NPI | 1669030052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN195391) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN195391) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2023-03-03 |