| NPI | 1881265494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP223856) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: GA 223856) |
| 207Q00000X Family Medicine (Licence: GA 223856) | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2025-11-18 |