| NPI | 1902444888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP237509) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021061) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2025-10-08 |