| NPI | 1780112789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN301836) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F341113-1) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2024-08-09 |