| NPI | 1851826390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN218085) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 19813A) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2021-02-15 |