| NPI | 1881180222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN285274) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 12) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2022-01-07 |