| NPI | 1396806865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN244445) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 677806) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2023-04-13 |