| NPI | 1629831177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN292901) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2026-01-15 |