| NPI | 1154828168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA GAA-NP000705) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN281218) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176996) | |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2022-07-27 |