| NPI | 1760104160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN276073) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN276073) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-10-04 |