| NPI | 1689075715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN028393) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339049) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2018-08-08 |