| NPI | 1164061032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024196327) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP004460) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11044972) | |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2026-02-17 |