| NPI | 1982394086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN215268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN215268) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2025-04-02 |