| NPI | 1861445447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA ARNP 103102) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9164727) |
| 363L00000X Nurse Practitioner (Licence: NM 80435) | |
| 363L00000X Nurse Practitioner (Licence: TX 1159783) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-10-04 |