| NPI | 1821601279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN208214) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA F01200035) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-02-25 |