| NPI | 1205296480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN305256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130394) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2025-03-12 |