NPI | 1275698284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN308026) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 834163) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308061) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95010236) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2025-07-10 |