| NPI | 1568020469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26152) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178664) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN263038) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 22903) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2021-03-01 |