| NPI | 1619367893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29258) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN202988) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2023-12-23 |