| NPI | 1780327353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN161998) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA NCO-000001) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2024-08-20 |