| NPI | 1881060002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN273508) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN20255) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2024-01-25 |