| NPI | 1013550136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN270093) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN270093) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2024-10-21 |