| NPI | 1174345904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 31770) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN303240) |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2026-06-18 |