| NPI | 1497254791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9486121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN209763) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2019-09-11 |