| NPI | 1588987374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN1207302) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA GAA-NP004474) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2026-01-22 |