| NPI | 1215489752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004498) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003901) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 340284) | |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2025-08-06 |