| NPI | 1578968053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9485060) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN179490) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95006810) | |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2024-11-01 |