| NPI | 1972298974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27530) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN280788) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2025-10-08 |