| NPI | 1194982371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019099) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN119473 NP RNCPHP) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-12-13 |