| NPI | 1508406737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN264562) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN264562) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN264562) | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2024-03-27 |