| NPI | 1225870660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN269505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN269505) |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-09-13 |