| NPI | 1144789082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN103259) |
| Additional Taxonomies | 251E00000X Home Health (Licence: GA RN103259) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2020-10-29 |