| NPI | 1629486444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN248239) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN248239) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN248239) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY RN248239) | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2025-03-07 |