| NPI | 1881394500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN336240) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 82013) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2026-05-04 |