| NPI | 1932582301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN285652) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00573000) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9222232) | |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2019-09-11 |