| NPI | 1144861485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN180746) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 3-002006) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11034882) | |
| 363L00000X Nurse Practitioner (Licence: TX 1179887) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037944) | |
| 363L00000X Nurse Practitioner (Licence: GA RN180746) | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2025-09-22 |