| NPI | 1831692110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN241610) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 241610) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2026-04-22 |