| NPI | 1659733640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29047) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN218977) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2021-03-31 |