| NPI | 1558735241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19869) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021532) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11037196) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003104) | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2025-07-31 |