| NPI | 1912013426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 900146) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 8150) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP002587) | |
| 363L00000X Nurse Practitioner (Licence: TN RN1300077) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2025-10-20 |