| NPI | 1184176331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN282863) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 802906) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2024-05-29 |