| NPI | 1245988351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN261360) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA APRN-NP261360) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2026-02-17 |