| NPI | 1386105161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN237688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN237688) |
| 207Y00000X Otolaryngology (Licence: GA RN237688) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-11-12 |