| NPI | 1346332517 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN150406) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN150406 NP) | 
| Enumeration Date | 2006-09-28 | 
| Last Update Date | 2025-09-03 |