| NPI | 1205516754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN165350) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA RN165350) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2025-02-17 |