| NPI | 1538710702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 156449) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: GA 156449) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN156449) | |
| 364SH0200X Clinical Nurse Specialist, Home Health (Licence: GA 156449) | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-12-22 |