| NPI | 1225560691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9319286) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN219604) |
| 163WE0003X Registered Nurse, Emergency (Licence: FL RN9319286) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2019-08-31 |