| NPI | 1740050475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP235547) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN235547) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2026-04-20 |