| NPI | 1598278798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3180) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN200746) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2022-01-04 |