| NPI | 1528766433 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN302167) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN302167) | 
| Enumeration Date | 2023-02-20 | 
| Last Update Date | 2023-10-17 |