| NPI | 1013228568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN118327) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN118327) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2022-12-20 |