| NPI | 1699169441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN245478) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9270667) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-31 |