| NPI | 1487323994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: GA RN259120) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN259120) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-01-09 |