| NPI | 1245679711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN298763) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1706) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2022-08-05 |