| NPI | 1194739300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN166411) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP2773) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-10-22 |