| NPI | 1942532395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN302951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14788) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2024-01-03 |