| NPI | 1710148044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1228904) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA APRN-NP253047) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2026-04-14 |