| NPI | 1538450598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN183530) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-121113) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2022-07-21 |