| NPI | 1730476169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN123630) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN001290) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2024-03-01 |