| NPI | 1306245576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN268871) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN AP0000025068) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP126209) | |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2023-02-20 |