| NPI | 1588035018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11034085) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5012697) |
| 363L00000X Nurse Practitioner (Licence: SC 26784) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN270965) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2299504) | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2024-09-23 |