| NPI | 1609508969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000030718) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002480) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN2549) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 80478) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ Tele316043) | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2024-11-08 |