| NPI | 1841982238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN240456) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN240456) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN240456) | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |