| NPI | 1740842939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 241368) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN234591) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2024-07-24 |