| NPI | 1376391433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033044) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN301102) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-06-21 |