| NPI | 1962880294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19506) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN247639) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2022-03-01 |