| NPI | 1750833539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN206345) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ TRN203526) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2022-07-09 |