| NPI | 1780180927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN219055) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 219055) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2019-08-27 |