| NPI | 1144909839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN278729) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN278729) |
| 207Q00000X Family Medicine (Licence: GA RN278729) | |
| 363L00000X Nurse Practitioner (Licence: GA RN278729) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN278729) | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2025-02-10 |