| NPI | 1760018352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN268237) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F02201056) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-12-14 |