| NPI | 1871953786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC APN.20016) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN255409) |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP016083) | |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-05-11 |