| NPI | 1164411559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN145900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 6358) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2024-01-24 |