| NPI | 1538412234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN134913) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11017585) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2022-03-25 |