| NPI | 1962042846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC HINE-0EGG-JM) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP325372) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2025-11-07 |