| NPI | 1417535535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011958) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN248191) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-04-03 |