| NPI | 1306202064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9456068) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN240228) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2021-08-18 |