| NPI | 1114199338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN244575) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000007102) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2025-05-02 |