| NPI | 1679918189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-184044) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN195010) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2024-03-13 |