| NPI | 1336572650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 22683) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 22683) |
| 363LF0000X Nurse Practitioner Family (Licence: GA RN162128) | |
| 363LF0000X Nurse Practitioner Family (Licence: TN 19496) | |
| Enumeration Date | 2013-08-11 |
| Last Update Date | 2023-04-20 |