| NPI | 1790358299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 78052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN272336) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-03-31 |