| NPI | 1689205767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN232849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-139407) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2023-06-15 |