| NPI | 1306491246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN195589) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000026177) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2020-11-10 |