| NPI | 1093469421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN249436) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000029540) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-07 |