| NPI | 1659655629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN175548) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: GA RN175548) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2025-10-24 |