| NPI | 1215621503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27452) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11038820) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP003449) | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2025-08-05 |