| NPI | 1033789672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA GAA-NP000003) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 24265) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11013219) | |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2024-02-22 |