| NPI | 1508392952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009480) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340431) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN299842) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1066221) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1057625) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 30597) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004556) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178432) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC003072) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2024-08-02 |