| NPI | 1245319441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN101917-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN101917) |
| 207Q00000X Family Medicine (Licence: GA 28818) | |
| 363L00000X Nurse Practitioner (Licence: GA RN101917) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2024-08-19 |