| NPI | 1932644580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9490453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN140719) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2019-05-06 |