| NPI | 1437672292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN215766) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000022721) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-10-05 |