| NPI | 1578003133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN221393) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22223) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2022-05-26 |