| NPI | 1902323538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN192435) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN192435) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: GA RN192435) | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2023-12-27 |