| NPI | 1427580596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 22129) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN220104) |
| 363L00000X Nurse Practitioner (Licence: SC APN.22129) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2025-12-01 |