| NPI | 1699416719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN054075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA NCO-000003) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-07-11 |