| NPI | 1083650279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN154368) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN154368) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2022-07-21 |