| NPI | 1710431226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN173224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20316) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2024-05-08 |