| NPI | 1558962894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN222944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC APN.27926) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2023-11-30 |