| NPI | 1306456884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500003934) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN264232) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5019317) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1115651) | |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2024-02-29 |