| NPI | 1982971487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 349059) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN198812) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2023-02-06 |