| NPI | 1235392424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP145004) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127054) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2026-05-15 |