| NPI | 1518363167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN238447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9273568) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 238447) | |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2020-10-28 |