| NPI | 1447415351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5004198) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5004198) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: GA RN176805) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2024-08-29 |