| NPI | 1275194557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP001838) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11002684) |
| 363L00000X Nurse Practitioner (Licence: TX 1050927) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2024-09-28 |