| NPI | 1336785898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 33839) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 241755) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2023-08-01 |