| NPI | 1912652629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN261914) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 30583) |
| 363L00000X Nurse Practitioner (Licence: GA RN261914) | |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0104746-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: AL 3-002371) | |
| 363L00000X Nurse Practitioner (Licence: TN 38996) | |
| 363L00000X Nurse Practitioner (Licence: GA APRN-NP261914) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038725) | |
| 363L00000X Nurse Practitioner (Licence: UT 14225535-4405) | |
| 363L00000X Nurse Practitioner (Licence: NC APN.30583) | |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2025-11-04 |