| NPI | 1538416748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN305661) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP012160) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2024-09-19 |