| NPI | 1528123114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 13168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN212025) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00120500) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 13168) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2022-07-12 |