| NPI | 1861919136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN240383) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 2023127641) |
| Enumeration Date | 2017-08-27 |
| Last Update Date | 2025-10-24 |