| NPI | 1780039131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN185101) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN185101) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2024-03-27 |