| NPI | 1467064030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN241281) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11044130) |
| 207Q00000X Family Medicine (Licence: GA RN241281) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2025-12-31 |