| NPI | 1457971186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN255693) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN255693) |
| 207R00000X Internal Medicine (Licence: GA RN255693) | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2023-09-20 |