| NPI | 1871983833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71005547A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN219681) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2019-01-15 |