| NPI | 1851010466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN164305) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F08220908) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-10-25 |