| NPI | 1063002145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP248353) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN248353) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2025-10-16 |