| NPI | 1669928388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN165924) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-05-06 |