| NPI | 1275881823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN247137) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN16722) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-01-25 |