| NPI | 1225534670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN202902) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ TEMP316857) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-11-27 |