| NPI | 1932921913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN300831) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 37687) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-12-05 |