| NPI | 1740688910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN139678) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28131113A) |
| 163W00000X Registered Nurse (Licence: GA RN139678) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005657A) | |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2016-12-13 |