| NPI | 1679332555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN292713) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN292713) |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2025-04-15 |