| NPI | 1265996417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN144612) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA RN144612) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2024-10-07 |