| NPI | 1033240601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-144836) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN090178) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2022-06-14 |