| NPI | 1720328362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN267270) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337753-1) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2025-05-07 |