| NPI | 1598224081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN226765) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 226765) |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2022-01-03 |