| NPI | 1528653920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033288) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 355423) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN277747) | |
| 363L00000X Nurse Practitioner (Licence: GA RN277747) | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2025-11-29 |