| NPI | 1720754146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN311450) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN372349) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2025-05-06 |