| NPI | 1528829421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN307350) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN307350) |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-03-22 |