| NPI | 1073979886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN283935) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-139936) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2024-03-04 |