| NPI | 1588051924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN261692) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127782) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2024-02-15 |