| NPI | 1538355078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN196933) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2750082) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN196933) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN196433) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2024-11-13 |