| NPI | 1093478331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11015837) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA APRN11015837) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2022-09-20 |