| NPI | 1134934854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN201510) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN201510) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-07-31 |