| NPI | 1649764903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN202433) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA RN202433) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2023-06-15 |