| NPI | 1841765880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN293855) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9390258) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2020-10-29 |