| NPI | 1881069805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP140451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN140451) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2026-06-11 |