| NPI | 1871906024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 11994) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000901) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61552287) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN183072) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2024-11-13 |