| NPI | 1962856351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN208188) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F0316517) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2022-07-01 |