| NPI | 1528507282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9480242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN222081) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2022-09-07 |