| NPI | 1861032187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN204752) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 3014204) |
| 207Q00000X Family Medicine (Licence: GA RN204752) | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: GA RN204752) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3014204) | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2022-11-10 |