| NPI | 1700320876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN333284) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9316295) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61498837) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10018520) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 112963-23) | |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2025-01-16 |