| NPI | 1730699737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN274379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026334) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APN28905APRN) | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2025-10-17 |