| NPI | 1003540147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN250441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN250441) |
| 363L00000X Nurse Practitioner (Licence: AL 1-196405) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2025-03-25 |