| NPI | 1134745581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN323107) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704304130) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 11265) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027846) | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-10-18 |