| NPI | 1730507526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN160142) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012136) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-12-20 |