| NPI | 1952973851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN304504) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013626) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2025-10-20 |