| NPI | 1578937264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN328170) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9383644) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2024-07-10 |