| NPI | 1558752188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014799) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: GA RN225648) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NC 336132) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN225648) | |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2022-05-27 |