| NPI | 1821335993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN213895) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN213895) |
| 163W00000X Registered Nurse (Licence: FL 2727652) | |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2015-08-03 |