| NPI | 1942870241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023508) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN216947) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2026-01-07 |