| NPI | 1770257511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN269151) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95025268) |
| 363L00000X Nurse Practitioner (Licence: GA RN269151) | |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2023-10-11 |