| NPI | 1235956335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN195813) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN195813) |
| Enumeration Date | 2024-09-21 |
| Last Update Date | 2025-02-17 |