| NPI | 1851951958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN301563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 9227) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209019333) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-11-15 |