| NPI | 1114681418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN325994) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN325994) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2025-04-23 |