| NPI | 1346616976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A169585) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN 126607) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2024-11-29 |