| NPI | 1326211335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA F05190272) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN219044) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2020-12-30 |