| NPI | 1851831788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN163203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APRN 20756) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2021-08-23 |