| NPI | 1740753003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN209984) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN209984) |
| 363L00000X Nurse Practitioner (Licence: NC MCCA-9WLCF) | |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ15200900) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12543) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190447) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0037282) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034852) | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2024-11-21 |