| NPI | 1063910057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN209302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN209302) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028001) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2024-02-06 |