| NPI | 1487193793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 209900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RB090489) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2023-08-01 |