| NPI | 1467100115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997429-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002508) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APN.29066APRN) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1176636) | |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2024-10-28 |