| NPI | 1114625456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN277934) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN277934) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA RN277934) | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-06-20 |