| NPI | 1548773989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: GA RN187971) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: GA RN187971) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: SC 24465) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2024-06-26 |