| NPI | 1184295750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11016541) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN303973) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016541) | |
| 163W00000X Registered Nurse (Licence: FL 9384352) | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-05-23 |