| NPI | 1063850485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 005898) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY f337978) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN306408) | |
| 163W00000X Registered Nurse (Licence: NY 577950) | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2025-12-28 |