| NPI | 1861817819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 18714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN187039) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2016-05-27 |