| NPI | 1730757808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN235977) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN235977) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN235977) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN239577) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2025-08-05 |