| NPI | 1407394166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9237370) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA GAA-NP000181) |
| 363L00000X Nurse Practitioner (Licence: GA RN305763) | |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9237370) | |
| 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP000181) | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2024-07-25 |