| NPI | 1275372971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN328023) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 328023) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-07-17 |