| NPI | 1548231681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN276434) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168814) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2019-08-07 |