| NPI | 1467491290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN-11028345) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN113445) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN113445) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-12-14 |