| NPI | 1477833770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R896723) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN133630) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2017-11-02 |