| NPI | 1467824581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN151090) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC 342420) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5018645) | |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2025-10-09 |