| NPI | 1417555483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN253931) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F05200907) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2025-11-06 |