| NPI | 1942783147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN28051) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23839) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2024-10-29 |