| NPI | 1528766094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN262206) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: GA rn262206) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2024-07-30 |