| NPI | 1396297974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0996011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21985) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN263012) | |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2024-08-08 |