| NPI | 1760335848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP712085) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN712085) |
| Enumeration Date | 2026-02-18 |
| Last Update Date | 2026-03-04 |