| NPI | 1033378203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R188012) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN132008) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2025-09-02 |