| NPI | 1720659980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN274835) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: GA RN274835) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2023-03-29 |