| NPI | 1851648398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344690-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN301635) |
| 163W00000X Registered Nurse (Licence: CT 107637) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11021406) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 8456) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN301635) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2023-12-14 |