| NPI | 1255941993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 24267) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11011212) |
| 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP000792) | |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5016243) | |
| 363LF0000X Nurse Practitioner Family (Licence: KY 57185) | |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2024-01-11 |