| NPI | 1437669751 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-133947)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN226769)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-133947)  | |
| Enumeration Date | 2017-10-02 | 
| Last Update Date | 2024-04-30 |