| NPI | 1811328586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN160388) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F0913321) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2021-02-18 |