| NPI | 1609119205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9370489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN212966) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2017-11-16 |