| NPI | 1801220439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 121421) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23253) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN274934) | |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2023-01-11 |