| NPI | 1730716689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN297123) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23782) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN297123) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-12-31 |