| NPI | 1427544592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN288652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 21856) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2022-12-30 |