| NPI | 1427005354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN259939) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA RN259939) |
| 207Q00000X Family Medicine (Licence: GA RN259939) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2024-03-27 |