| NPI | 1750169967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: GA RN274958) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN274958) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |