| NPI | 1861810749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN165019) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN165019) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2023-11-20 |