| NPI | 1154969244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN203776) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1000189) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2023-12-26 |