| NPI | 1669923157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN334871) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9427718) |
| 163W00000X Registered Nurse (Licence: TX 702724) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2025-02-13 |