| NPI | 1013601376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN323884) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 080743-23) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NH 080743-21) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NH 080743-21) | |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2024-07-29 |