| NPI | 1457778847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN193417) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2022-10-27 |