| NPI | 1033978648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN291974) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL 9582156) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11032352) | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2025-04-28 |