| NPI | 1386981918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9235470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA APRNGAANP003937) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2025-11-15 |