| NPI | 1881078632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN207496) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN207496) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11035447) | |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2024-09-23 |