| NPI | 1184381733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN310941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 10115) |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2025-09-13 |