| NPI | 1225377245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP195161) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN195161) |
| 163W00000X Registered Nurse (Licence: NY 584435) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2026-06-15 |