| NPI | 1326781766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN278205) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN278205) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2025-05-12 |