| NPI | 1427359843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN243427) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN243427) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9194072) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2023-08-14 |