| NPI | 1134754088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN298748) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11003708) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA APRN298748) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2022-09-30 |