| NPI | 1942975685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN319082) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN319082) |
| 363L00000X Nurse Practitioner (Licence: VA 0024182436) | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2023-08-24 |