| NPI | 1851366058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN067104) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN687) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2024-01-18 |