| NPI | 1811208648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004770) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN191108) |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2023-11-30 |