| NPI | 1275990616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN192449) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN192449) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN192449) | |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2024-01-27 |