| NPI | 1598912206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN289179) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: OH 326820) |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.019426) | |
| 363LF0000X Nurse Practitioner Family (Licence: SC 28380) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2024-04-09 |