| NPI | 1265884175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS 903320) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN215593) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2023-09-25 |