| NPI | 1376733758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169131) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 335325-1) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN221907) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2023-08-11 |