| NPI | 1629286224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP714643) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R38532) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2026-07-28 |