| NPI | 1508237835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000020402) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1244632) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN238619) | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |