| NPI | 1942740360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN242801) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9380811) |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2024-09-25 |