| NPI | 1346247541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN5291) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN045940) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 3107) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2022-03-30 |