| NPI | 1942578737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN194174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 194174) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2024-08-29 |