| NPI | 1770082190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039597) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN220556) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2025-07-31 |