| NPI | 1356160691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN283515) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 31555) |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2026-02-18 |