| NPI | 1811133622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13649) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN133680) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2023-02-07 |