| NPI | 1942586870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021446) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 645506) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN217653) | |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2025-01-08 |