| NPI | 1699394494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN333943) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-173927) |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: GA RN333943) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-173927) | |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2025-04-09 |