| NPI | 1730816331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN276896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA NCO-000003) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2023-03-15 |