| NPI | 1366005977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN107489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-170407) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2026-02-11 |