| NPI | 1366742447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN281996) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA 20592) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 281996) | |
| Enumeration Date | 2010-10-24 |
| Last Update Date | 2023-06-22 |