| NPI | 1801155288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN175341) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN175341) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 16712) | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2024-10-18 |