| NPI | 1366883209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9404766) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN185338) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2021-01-12 |