| NPI | 1952849630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN197683) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032249) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2024-06-28 |