| NPI | 1336501436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN151100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN151100) |
| 363L00000X Nurse Practitioner (Licence: NV 826153) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-09-16 |