| NPI | 1386038099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN269731) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007801) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95002291) | |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5007801) | |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2024-09-12 |