| NPI | 1104334846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN216672) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F01180323) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1172137) | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2024-10-02 |