| NPI | 1861081457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN242779) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11008344) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-01-18 |