| NPI | 1235947144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN263305) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA NP240268) |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2025-10-21 |