| NPI | 1154871564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN278009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000212021) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2025-07-08 |