| NPI | 1730967100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN296289) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN296289) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN296289) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 0034513) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 34293) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL aprn11027546) | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-02-29 |