| NPI | 1215483441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9329304) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN215489) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2017-03-08 |