| NPI | 1811326473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN203807) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004704A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71004704B) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2023-03-13 |