| NPI | 1508279837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA NP232368) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 121515) |
| 163W00000X Registered Nurse (Licence: GA 232368) | |
| 163W00000X Registered Nurse (Licence: IL 041577002) | |
| 163W00000X Registered Nurse (Licence: OR 202205404) | |
| 163W00000X Registered Nurse (Licence: CA 95291307) | |
| 163W00000X Registered Nurse (Licence: NY 924955) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2026-04-16 |