| NPI | 1124588603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP000220) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000029596) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2022-06-03 |