| NPI | 1578187464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN296928) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN296928) |
| 163W00000X Registered Nurse (Licence: TN 240878) | |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-09-23 |