| NPI | 1679173116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN163740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN163740) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2025-01-15 |