| NPI | 1982214334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN230138) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 24683) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2025-11-11 |