| NPI | 1437580255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN169765) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN169765) |
| 163W00000X Registered Nurse (Licence: GA RN169765) | |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2025-12-18 |