| NPI | 1720846421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN306133) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN306133) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2025-06-19 |