| NPI | 1487699591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0114595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN152483) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2023-04-11 |