| NPI | 1821847393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN251131) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: GA RN251131) |
| 363L00000X Nurse Practitioner (Licence: GA RN251131) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: GA RN251131) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: GA RN251131) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: GA RN251131) | |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-07-31 |