| NPI | 1750001764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN245513) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5016872) |
| 163W00000X Registered Nurse (Licence: NC 331788) | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2025-01-14 |