| NPI | 1376717389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN230334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167782) |
| 363L00000X Nurse Practitioner (Licence: KY 3011007) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2025-12-03 |