| NPI | 1659720456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-106332) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN174428) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-09-08 |