| NPI | 1396883716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN193714) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11010191) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-06-14 |