| NPI | 1851826739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN216116) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN216116) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2018-03-30 |