| NPI | 1841601887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010458) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN170351) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2018-08-10 |