| NPI | 1235734344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN191233) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 9012341-4405) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2023-10-18 |