| NPI | 1659650695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN298090) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN298090) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2025-03-18 |