| NPI | 1548816457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN259094) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11018947) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2022-06-01 |