| NPI | 1730603275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN218857) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA APRN-NP218857) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2026-05-11 |