| NPI | 1831674340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN263306) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F09180122) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2024-08-14 |