| NPI | 1023533486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010841) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN266265) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN266265) | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2023-05-23 |