| NPI | 1912559311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN200054) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA RN200054) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2023-08-07 |