| NPI | 1134452733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R203078) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN207750) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2024-04-05 |