| NPI | 1306311832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN223224) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 22157) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2023-10-10 |