| NPI | 1821645623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN223273) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: GA RN223273) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-05-16 |