| NPI | 1922873009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F04210057) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 354335) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001919) | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2025-08-14 |