| NPI | 1447586086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 195045) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5004991) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 4041) | |
| Enumeration Date | 2009-11-01 |
| Last Update Date | 2020-07-23 |