| NPI | 1174878516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN16867) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN298561) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2023-02-02 |