| NPI | 1578084307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN339878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F341904-1) |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2025-10-21 |