| NPI | 1285152132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 231815) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 231815) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2019-01-03 |