| NPI | 1346025749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN269980) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN269980) |
| 207R00000X Internal Medicine (Licence: GA RN269980) | |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-12-01 |