| NPI | 1265154884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN256523) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 363LF0000X) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2025-03-21 |