| NPI | 1306785613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP3244787) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA APRN-NP324478) |
| Enumeration Date | 2026-03-25 |
| Last Update Date | 2026-08-26 |