| NPI | 1669875225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN207536) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 207536) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2024-07-25 |