| NPI | 1053943647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN265652) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14867700) |
| 363L00000X Nurse Practitioner (Licence: PA SP028603) | |
| 363L00000X Nurse Practitioner (Licence: NY 350481) | |
| 363L00000X Nurse Practitioner (Licence: NC 5012813) | |
| 363L00000X Nurse Practitioner (Licence: WI 1383233) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 23593) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185226) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5012813) | |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2024-02-09 |