| NPI | 1578928909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN102940) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL TPAN716) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2023-10-20 |