| NPI | 1366625147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN080752) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2023-10-02 |