| NPI | 1699241968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN276118) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL RN9492435) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 22172) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5010846) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-084731) | |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2023-01-26 |