| NPI | 1225543929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 232840) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 232840) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2018-06-22 |