| NPI | 1881056208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN193457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN193457) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2018-08-07 |