| NPI | 1922794866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN339415) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-184481) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2025-09-04 |