| NPI | 1912533530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: GA RN231762) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN231762) |
| Enumeration Date | 2020-03-15 |
| Last Update Date | 2024-09-09 |