| NPI | 1497284723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN193501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 8445321-4405) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 363L00000X Nurse Practitioner (Licence: UT 8445321-4405) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2021-11-20 |