| NPI | 1538603543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-129449) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN219899) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2024-01-09 |