| NPI | 1922264902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R67236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN173415) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2021-09-28 |