| NPI | 1639796196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: GA F10190607) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 1639796196) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-09-22 |