| NPI | 1295833176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 2724) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN150666) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-07-21 |