| NPI | 1699132969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN222685) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: GA RN222685) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2025-07-28 |