| NPI | 1023880366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9520498) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA APRN-NP340296) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2026-06-01 |