| NPI | 1750764932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN068065) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: GA RN068065) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-10-21 |