| NPI | 1689275604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP238850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2332663) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1181481) | |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2025-10-09 |