| NPI | 1568752798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 18126) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN200664) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2021-09-14 |