| NPI | 1710508353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 3-002087) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN275259) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2025-01-13 |