| NPI | 1194156935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18150) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN270810) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9442692) | |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2022-07-01 |