| NPI | 1629182928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN131361 NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9189196) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2022-06-27 |