| NPI | 1275969081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 10659) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 218472) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN218472) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 17937) | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2021-11-30 |