| NPI | 1093263071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP172074) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN172074) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA APRN-NP172074) | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2026-05-05 |