| NPI | 1083714778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN213045) |
| 207R00000X Internal Medicine (Licence: TN 24247) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA APRN213045) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3063102) | |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2019-02-06 |