| NPI | 1740728823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA F04170449) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: GA RN190687) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2018-11-06 |