| NPI | 1821406190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN217876) |
| Additional Taxonomies | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: GA 069-140-H) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2019-06-19 |