| NPI | 1710803622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP244007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 244007) |
| Enumeration Date | 2026-06-25 |
| Last Update Date | 2026-07-14 |