| NPI | 1558900902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA NP231339) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033837) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194874) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0040990) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 39603) | |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2026-03-24 |