| NPI | 1811636822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN242143) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN242143) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-08-07 |