| NPI | 1417986704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN11002512) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9510342) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11002512) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: GA 149930) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: AL 1-151531) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2022-07-03 |