| NPI | 1932595261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN225682) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127870) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2018-09-23 |