| NPI | 1154460715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 34556) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN037416) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-04-04 |