| NPI | 1720213796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018314) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN183005) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2024-01-17 |