| NPI | 1801415385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN310911) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-160310) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2022-07-13 |