| NPI | 1659017309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020406) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 31523) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5024126) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP004799) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP036155) | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2026-07-22 |