| NPI | 1285090779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10053515) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN176173) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2026-01-10 |