| NPI | 1053548297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN235188) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 153329) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2024-04-26 |