| NPI | 1518484161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 25513) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN224085) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-21 |