| NPI | 1902353923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9468401) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN223782) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2018-02-01 |