| NPI | 1396141636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 20942) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN058278) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2023-03-16 |