| NPI | 1760973358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9441574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN186802) |
| 163W00000X Registered Nurse (Licence: FL RN9441574) | |
| 363L00000X Nurse Practitioner (Licence: GA RN186802) | |
| Enumeration Date | 2018-05-20 |
| Last Update Date | 2021-08-25 |