| NPI | 1467063651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN326188) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC F07200391) |
| 363L00000X Nurse Practitioner (Licence: VA 0024180083) | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2024-05-09 |