| NPI | 1235392424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN145004) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9193233) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP127054) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2024-07-30 |