| NPI | 1275144867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN250200) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN250200) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: TX 1023315) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-01-29 |