| NPI | 1265049969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN163130) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 163130) |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2025-07-17 |