| NPI | 1740616721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP149431) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN149431) |
| 163WG0000X Registered Nurse, General Practice (Licence: GA RN149431) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN149431) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA NP149431) | |
| 208D00000X General Practice (Licence: GA NP149431) | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2025-10-24 |