| NPI | 1346593852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN155438) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2019-08-13 |