| NPI | 1639615776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11042865) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN327548) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2025-10-15 |