| NPI | 1093225179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN171176) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: GA RN171176) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2020-05-13 |