| NPI | 1699947507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN209842) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0093219) |
| 163W00000X Registered Nurse (Licence: NY 710479) | |
| 163W00000X Registered Nurse (Licence: GA RN209842) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN209842) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VT 026.0093219) | |
| 163WC0400X Registered Nurse, Case Management (Licence: NY 710479) | |
| 163WC0400X Registered Nurse, Case Management (Licence: GA RN209842) | |
| 163WC0400X Registered Nurse, Case Management (Licence: VT 026.0093219) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VT 026.0093219) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA RN209842) | |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: GA RN209842) | |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: VT 026.0093219) | |
| 225700000X Massage Therapist (Licence: GA MT000123) | |
| 225700000X Massage Therapist (Licence: VT 164.0001143) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2025-02-25 |