| NPI | 1194166728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006385) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 263822) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN274795) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00578900) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2024-11-11 |