| NPI | 1003790551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN310199) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN310199) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN310199) | |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |