| NPI | 1194438432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5020915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN266063) |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2025-06-05 |