| NPI | 1982871109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN149116) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN149116NP) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2024-05-22 |