| NPI | 1730419474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 14588) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TN 14588) |
| 363LF0000X Nurse Practitioner Family (Licence: GA RN206506) | |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2023-11-07 |