| NPI | 1699331777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25677) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 25677) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN286730) | |
| 207Q00000X Family Medicine (Licence: TN 25677) | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2023-12-01 |