| NPI | 1699288845 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9361181) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003747) | 
| 363L00000X Nurse Practitioner (Licence: FL ARNP9361181) | |
| Enumeration Date | 2017-11-09 | 
| Last Update Date | 2025-07-08 |