| NPI | 1144827957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN213705) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-130643) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2025-08-22 |