| NPI | 1316428527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN220058) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95024922) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ01418800) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11027210) | |
| 363L00000X Nurse Practitioner (Licence: TN 34225) | |
| 363L00000X Nurse Practitioner (Licence: AZ 286995) | |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2023-09-21 |