| NPI | 1780744037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5010707) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN154259NP) |
| 363LF0000X Nurse Practitioner Family (Licence: OR 201502279NP-PP) | |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2022-12-13 |