| NPI | 1235502246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN280993) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013253) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190378) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5020039) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 119837) | |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2024-06-10 |