| NPI | 1669322715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP317445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN317445) |
| Enumeration Date | 2026-01-29 |
| Last Update Date | 2026-07-22 |