| NPI | 1316730294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP286899) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F04250127) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2026-02-03 |