| NPI | 1144651894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 842651) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN252726) | |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2023-04-14 |