| NPI | 1477070084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN282676) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN282676) |
| 163WC1500X Registered Nurse, Community Health (Licence: OH RN.305694) | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2024-09-12 |