| NPI | 1982115242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022774) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN219155) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 836051) | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2023-06-30 |