| NPI | 1497317937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37117) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN241243) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2025-05-15 |