| NPI | 1982199980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY f346595-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f346595-01) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN223702) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN223702) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN223702) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2022-09-01 |