| NPI | 1578632808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN278076) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-117580) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-117580) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-117580) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55532) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2019-03-18 |