| NPI | 1861843997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24712) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN249528) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2021-10-21 |