| NPI | 1326757311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36438) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN313428) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2024-12-10 |