| NPI | 1588877393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23790) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN142462) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 218979) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN142462NP) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2023-06-15 |