| NPI | 1386257806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11022321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN244773) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2024-07-10 |