| NPI | 1235488396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP246357) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9199661) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2025-10-23 |