| NPI | 1164134052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32601) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA NP001104) |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2022-12-22 |