| NPI | 1811375132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 272005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN234158) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R222059) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2024-09-15 |