| NPI | 1134338932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN200896) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN200896) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 3090722) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-08-06 |