| NPI | 1427673748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014524) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN311106) | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-11-13 |