| NPI | 1780297630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-106572) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN190286) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-05-20 |