| NPI | 1811460892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN230267) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F06180926) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-12-10 |