| NPI | 1982842555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN281797) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22590099) |
| 163W00000X Registered Nurse (Licence: GA RN281797) | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2024-09-23 |