| NPI | 1881970879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN171431) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN171431) |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2020-06-10 |