| NPI | 1023846888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN252118) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN252118) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-10-22 |