| NPI | 1851367114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN320315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4304P) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2024-08-17 |