| NPI | 1306540513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN301700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN301700) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2024-11-07 |