| NPI | 1427397215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN167622) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2353974) |
| 207Q00000X Family Medicine (Licence: NJ 26NJ15390900) | |
| 207Q00000X Family Medicine (Licence: OR 10004428) | |
| 163W00000X Registered Nurse (Licence: HI 102634) | |
| 207Q00000X Family Medicine (Licence: TX 1040928) | |
| 207Q00000X Family Medicine (Licence: WV 110113) | |
| 207Q00000X Family Medicine (Licence: NC 5022171) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2025-10-12 |