| NPI | 1861055634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN248647) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028469) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2025-08-22 |