| NPI | 1992268908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN166649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA 166649) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |