| NPI | 1669078747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN207285) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11008788) |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2021-09-07 |