| NPI | 1942556063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN292239) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16842) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2024-01-25 |