| NPI | 1669818043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17329) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN230297) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 2354) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-09-23 |