| NPI | 1174116446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP334550) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA NP001196) |
| 363L00000X Nurse Practitioner (Licence: FL APRN-11010982) | |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2025-12-05 |