| NPI | 1679921134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN217872) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: GA RN217872) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2020-06-05 |