| NPI | 1124834080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA NP313827) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP313827) |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2026-01-23 |