| NPI | 1598753287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2830312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP004743) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 31756) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5024553) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2026-06-18 |