| NPI | 1982055653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP216380) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN216380) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2025-11-20 |