| NPI | 1609347129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 22208) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002438) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 023129) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033960) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5020409) | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2024-09-18 |