| NPI | 1649460080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27964) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168713) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN274303) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2024-08-19 |