| NPI | 1558827162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN245809) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11000286) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN11000286) | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2024-06-04 |