| NPI | 1821755372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 29305) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN258315) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 258315) | |
| 208M00000X Hospitalist (Licence: GA RN258315) | |
| 2086S0129X (Licence: GA RN258315) | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2026-02-04 |