| NPI | 1093058976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN218400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171736) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 18490) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2019-11-05 |