| NPI | 1548658677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP238076) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN238076) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2025-10-27 |