| NPI | 1407277833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN257239) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN257239) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00476200) | |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2024-04-24 |