| NPI | 1891064655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9492462) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN214988) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2022-05-27 |