| NPI | 1407479702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GA-NP000169) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 9688) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95308498) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 24192294) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 348426) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11007189) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1048914) | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2026-05-20 |