| NPI | 1952276362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5024091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1160582) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003874) | |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2026-03-15 |