| NPI | 1851747919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN187331) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 258656) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2023-10-16 |