| NPI | 1275097230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 22507) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN281733) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2023-01-23 |