| NPI | 1295983286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-194248) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN150842) |
| 363LF0000X Nurse Practitioner Family (Licence: GA RN150842) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2023-08-18 |