| NPI | 1841941465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN223969) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 25709) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2023-04-20 |