| NPI | 1821547050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016495) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP132080) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN213754) | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2022-07-13 |