| NPI | 1699132787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN224236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN224236) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2025-12-12 |