| NPI | 1821142605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN152212) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN RN0000116942) |
| 163WG0000X Registered Nurse, General Practice (Licence: GA RN152212) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000007667) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 809329) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2024-02-27 |