| NPI | 1205330065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 21750) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP000726) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2022-11-03 |