| NPI | 1699375386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN254901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN254901) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2023-04-05 |