| NPI | 1740002229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA APRN-NP415497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA rn315497) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2026-08-06 |