| NPI | 1245589514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000016848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN214868) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2020-04-22 |