| NPI | 1548383250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN069257) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2022-03-31 |