| NPI | 1528832185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP264499) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN264499) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2025-12-05 |