| NPI | 1023651080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN248182) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1176917) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F351574-01) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95023096) | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2024-11-14 |