| NPI | 1477804839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN317861) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3007672) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2023-03-07 |