| NPI | 1760806111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11041382) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN167969) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2025-08-13 |