| NPI | 1528546652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN130372) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: GA RN130372) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2025-02-25 |