| NPI | 1366041873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN319235) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP11009834) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2023-08-17 |