| NPI | 1508359548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN234019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186569) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95026839) | |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: FL APRN11028939) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1114307) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-01-18 |