| NPI | 1396330411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN181562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN181562) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2023-12-14 |