| NPI | 1679056543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004079) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN242669) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN242669) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021197) | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2024-05-09 |