| NPI | 1033153077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN170552) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN170552) |
| 163W00000X Registered Nurse (Licence: GA RN170552) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2022-02-23 |