| NPI | 1780737197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9281007) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA R106911) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-08-27 |