| NPI | 1427415074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-177881) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN213662) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2020-02-18 |