| NPI | 1851078877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN264924) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 27954) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-11-02 |