| NPI | 1477908481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9246077) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN175772) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9246077) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9246077) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN175772) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2019-04-10 |