| NPI | 1467963942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN168442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 28976) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2025-08-15 |