| NPI | 1487663480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN109503) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN109503) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2024-09-16 |