| NPI | 1780993121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: GA RN135297) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN135297) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2024-07-16 |