| NPI | 1356721179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19515) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN248833) |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2022-07-21 |