| NPI | 1578946356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN245529) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000020014) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-07-26 |