| NPI | 1386282960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN319120) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F345281) |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2024-01-04 |