| NPI | 1851750129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 17282) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 210974) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2025-06-27 |