| NPI | 1255572186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN232646) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R875232) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP09028) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2024-04-18 |