| NPI | 1558134361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026740) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN321329) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |