| NPI | 1477196053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN205277NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN205277) |
| 363L00000X Nurse Practitioner (Licence: TN APN0000029399) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001626-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN205277) | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2022-10-27 |