| NPI | 1891183323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9304343) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9304343) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN193404) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2023-10-27 |