| NPI | 1740647148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN198359) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN198359) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2023-07-26 |