| NPI | 1427617380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN254472) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1153271) |
| 363L00000X Nurse Practitioner (Licence: AZ 307859) | |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0101559-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: NC 5019860) | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2024-08-13 |