| NPI | 1558751206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN194599) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9394344) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2021-11-22 |