| NPI | 1831401371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 237563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN193264 NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 237563) | |
| 163W00000X Registered Nurse (Licence: NC 237563) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2019-03-25 |