| NPI | 1205531878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School (Licence: GA RN03147) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN03147) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |