| NPI | 1568146173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN324846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95316133) |
| 163W00000X Registered Nurse (Licence: MD R210473) | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2025-10-30 |