| NPI | 1942459532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN178192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV APN001072) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2020-10-16 |