| NPI | 1174138051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 235632) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN252701) |
| 163W00000X Registered Nurse (Licence: AZ 235632) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN252701) | |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2023-01-12 |