| NPI | 1932938248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP247681) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 310609) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2025-10-03 |