| NPI | 1801628383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN330886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 29309) |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-09-09 |