| NPI | 1407396609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC APN.21872RX) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN154981) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN154981) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2024-11-11 |