| NPI | 1740754308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN201131) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0035266) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 23715a) | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2024-07-29 |