| NPI | 1558169847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRNNP311662) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN311662) |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2026-02-11 |