| NPI | 1669606950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN169079) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 3838) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2022-07-21 |