| NPI | 1205445426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP239680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN239680) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2025-09-16 |