| NPI | 1508441668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN268935) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 30892) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA RN268935) | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2024-01-25 |