| NPI | 1902235583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903283) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN146014) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2022-08-26 |