| NPI | 1770836843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9466615) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020085) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 22551) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3007685) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN285474) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190029) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2024-06-13 |