| NPI | 1558781534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005573) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA NP: RN171898) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2025-06-03 |