| NPI | 1003300138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3225652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN277105) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2021-08-02 |