| NPI | 1689133571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25542) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA NP00214) |
| 363L00000X Nurse Practitioner (Licence: KY 3017605) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-10-15 |