| NPI | 1215288360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11011345) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP029749) |
| 363L00000X Nurse Practitioner (Licence: OH 13224) | |
| 363L00000X Nurse Practitioner (Licence: TN 34192) | |
| 363L00000X Nurse Practitioner (Licence: AL 3-001266) | |
| 363L00000X Nurse Practitioner (Licence: SC 27871) | |
| 363L00000X Nurse Practitioner (Licence: TX 1029080) | |
| 363L00000X Nurse Practitioner (Licence: NC 5018575) | |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2024-05-15 |