| NPI | 1154874329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN290045) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 112067) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2019-12-02 |