| NPI | 1487695680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN208091) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN62997) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-11-04 |