| NPI | 1861169211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN268863) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN268863) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 268863) | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-08-24 |