| NPI | 1104476423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-145365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183267) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1060455) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000660) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018700) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-145365) | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2023-02-01 |