| NPI | 1073809307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA APRN-NP155861) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN155861) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2025-10-30 |