| NPI | 1033425319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN180767) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 15120) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2024-03-29 |