| NPI | 1891318333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN184307) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 184307) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2021-06-03 |