| NPI | 1437049079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN240519) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11040743) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-09 |