| NPI | 1902056658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 99913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R873364) |
| 207Q00000X Family Medicine (Licence: GA 12793) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168090) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-138507) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2024-07-12 |