| NPI | 1386053056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014180) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 55535) |
| 163W00000X Registered Nurse (Licence: AZ RN137619) | |
| 163W00000X Registered Nurse (Licence: GA RN165580) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8322) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 104015) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN165580) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2022-11-29 |