| NPI | 1417382540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN251203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1059676) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 9398) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 338293) | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2024-02-15 |