| NPI | 1245046572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN206060) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-260741) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2025-05-17 |