| NPI | 1689145781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN149830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN149830) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-03-13 |