| NPI | 1245668318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN256617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 840884) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2019-08-20 |