| NPI | 1043559529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN331904) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201141801RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 2018017288) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN331904) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2025-05-08 |