| NPI | 1881278968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN263692) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2023-01-04 |