| NPI | 1932368792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN232024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f335435) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2023-08-25 |