| NPI | 1154916682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN250503) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN250502) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-05-02 |