| NPI | 1174057335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN098614) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9410595) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN9410595) | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2023-10-11 |