| NPI | 1376296087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN331108) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2359830) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2024-10-22 |