| NPI | 1346870656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN.NP231388) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN231388) |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2026-07-13 |