| NPI | 1679947618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP002740) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 186471) |
| 163W00000X Registered Nurse (Licence: TX 875368) | |
| 363L00000X Nurse Practitioner (Licence: TN 27640) | |
| 363L00000X Nurse Practitioner (Licence: TX AP130091) | |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2025-02-27 |