| NPI | 1134627169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177677) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN220132) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9409299) | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2023-01-10 |