| NPI | 1063006070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-166175) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003401) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11037067) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0038365) | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2025-09-22 |