| NPI | 1407342603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN157187) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 291745) |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0102426-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: TX 1135487) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN157187) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN157187) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN157187) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN157187) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2024-06-10 |