| NPI | 1861098436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN233621) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA F06200402) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2021-03-26 |