| NPI | 1992299150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22059) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN217363) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-09-10 |