| NPI | 1831719608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP239637) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN239637) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2025-10-27 |