| NPI | 1972050920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN214280) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F0916067) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11005370) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2025-08-21 |