| NPI | 1245748060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN281783) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9264681) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2020-03-17 |