| NPI | 1679981997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN296996) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171797) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2023-11-27 |