| NPI | 1508264854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN229273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN31291) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2023-06-20 |