| NPI | 1215707989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 3-001413) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001413) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN240151) | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-05-06 |