| NPI | 1992472815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29585) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11010786) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1031263) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN254935) | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2024-09-23 |