| NPI | 1184047565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN213344) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN213344) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2022-01-04 |