| NPI | 1083355382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000031768) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN239449) |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2023-08-30 |