| NPI | 1346841186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN235732) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 23821) |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2023-02-07 |