| NPI | 1427722495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN285190) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN285190) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2025-01-15 |