| NPI | 1861121782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN297495) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2024-12-26 |