| NPI | 1801131198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN218179) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 113740-23) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2025-03-20 |