| NPI | 1790113348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP215999) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA APRN-NP215999) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2025-12-23 |