| NPI | 1841534898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN175464) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18064) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2315654) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA NP175464) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-03-28 |