| NPI | 1801859566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN245156) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008144) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2019-07-16 |