| NPI | 1942747167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2507) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN250982) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2019-04-05 |