| NPI | 1003231416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN211420) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18434) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2024-07-02 |