| NPI | 1336025261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11041358) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP004178) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002558) | |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2026-02-23 |