| NPI | 1245937929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN306525) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA AG01230135) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2024-07-03 |