| NPI | 1891048898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN233364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007515) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2024-01-18 |