| NPI | 1992933329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA PENDING) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN171306) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2023-10-27 |