| NPI | 1144013319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN254707) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN254707) |
| 363L00000X Nurse Practitioner (Licence: GA RN254707) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN254707) | |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-10-01 |