| NPI | 1861906075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN240234) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F07171446) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2022-11-15 |