| NPI | 1417344813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN253879) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 507581) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP127593) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2024-11-08 |