| NPI | 1760054795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN231725) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: GA Rn231725) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2025-04-10 |