| NPI | 1083299051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN249505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11030405) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2025-10-09 |